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Schizophrenia care levels 'catastrophically short'

Care for people with schizophrenia and psychosis is falling “catastrophically short”, a report has found.

The Schizophrenia Commission said that there are “shameful” standards of care on some acute mental health wards, which can make patients worse rather than better.

The Commission, established by the mental health charity Rethink Mental Illness, has called for a “radical” overhaul of the care system.

The report suggests that too much money is being spent on secure care - the most expensive form of care - and more should be invested in prevention and community support.

It also expresses concern that early intervention treatment teams are being cut in some areas.

Researchers claim that very few sufferers get the recommended levels of care.

The report states that there should be more widespread use of community-based “recovery houses” and a redirection of funding from secure units into early intervention services.

Professor Sir Robin Murray, chair of the commission, said: “We have spent the last year listening to expert professionals and more importantly, the experiences of people who have schizophrenia and psychosis and their families.

“The message that comes through loud and clear is that people are being badly let down by the system in every area of their lives.

“People with psychosis need to be given the hope that it is perfectly possible to live a fulfilling life after diagnosis. We have no doubt that this is achievable.”

Paul Jenkins, CEO of the charity Rethink Mental Illness, added: “It’s been over 100 years since the term ‘schizophrenia’ was first coined, but care and treatment are still nowhere near good enough.

“It is a scandal that in 2012 people with schizophrenia are dying 15-20 years earlier than the general population and that only 7% are able to get a job. Too many people are falling through the gaps in the system and ending up in prison or homeless.

“Developing ideal treatments might take time, but there are things which can be done today which could transform lives. More money does need to be spent - but the funding that already exists could also be used much more effectively.

“We wouldn’t accept this state of affairs for cancer, why should people with schizophrenia have to endure it?”

Schizophrenia affects more than 220,000 people in England and an estimated one in six people will experience some symptoms of psychosis at some stage in their lives, according to the report.

Readers' comments (2)

  • Will anything be done though? Leicestershire has closed ALL of its provision where people could go for a break, except acute care wards. The choice is community care services, which have and continue to be cut, or acute, chaotic, stressful wards. We are returning to hospital institutions that don't work, rather than small, local, calm places of recovery. I fear for the future.

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  • I also fear for the future of our patients. In the recent `redesign` not only did our trust close two hospitals and reduce the the Early Intervention Team but they also reduced the Community Teams and then gave us even bigger case-loads. And for the icing on the cake its the nurse who fails to provide proper care when the patient relapses!

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